Unhappy with the shape of your nose? Board-certified plastic surgeon Dr. Andre Panossian in Pasadena, Los Angeles excels in improving facial balance. Patients trust his expertise for beautifully refined noses that enhance their overall appearance.
- Rhinoplasty Surgery Explained
- Unlock Confidence and Balance with Dr. Panossian in Los Angeles
- Variations of Rhinoplasty
- Conditions treated by Rhinoplasty
- Revision Rhinoplasty
- Am I a Candidate for Rhinoplasty in Pasadena?
- What to Expect at a Rhinoplasty Consultation
- How to Prepare for Rhinoplasty Surgery
- The Rhinoplasty Surgery
- Recovering from a Rhinoplasty
- Rhinoplasty Post-operative Instructions
- Potential Risks and Side Effects of Rhinoplasty
- Frequently Asked Questions About Rhinoplasty
Rhinoplasty Before-and-After Pictures
Patient Example #1: This patient underwent open rhinoplasty to correct a severely deviated nose and septum as well as heavy correction of the dorsal hump and hanging tip. Smiling preop shows excessive tethering of the tip with worsening droop. All deformities were corrected with improvement of breathing due to correction of a severely deviated septum.
Patient Example #2: This patient underwent closed rhinoplasty to straighten the nose, reduce the dorsal hump, and refine the tip. Nasal airway obstruction was also addressed. Swelling in the tip may take 1-2 years to resolve. Check out the rhinoplasty Before and After photo gallery to see additional views of this patient.
Revision Rhinoplasty Before-and-After Pictures
Patient Example #3: This patient has a history of cleft lip and palate nose deformity. She was unhappy with two previous rhinoplasty efforts. She underwent an extensive revision rhinoplasty using an open technique to reshape the tip of her nose and remove her bulbosity. In addition, the tip was lengthened slightly to give better proportion to the entire nose. Sometimes, due to depletion of cartilage inside the nose, a rib cartilage graft must be used as in this case.
Patient Example #4: This patient underwent closed rhinoplasty to straighten the nose, reduce the dorsal hump, correct the septum, and slightly refine the tip. The result was improvement of nasal shape and symmetry without losing his masculine appearance. This is the importance of male rhinoplasty. Incisions were placed inside the nose (endonasal rhinoplasty), leaving no visible scarring.
What to Expect at a Rhinoplasty Consultation
Prospective patients are encouraged to schedule a consultation with Dr. Panossian to discuss their desire for a nose job in Los Angeles at Andre Panossian MD Plastic Surgery, conveniently located in north-central LA.
The doctor will review the patient’s paperwork to determine if they are healthy enough for the procedure. He will then go over the patient’s aesthetic goals and make treatment recommendations. In some cases, Dr. Panossian may recommend alternative procedures or suggest additional surgeries or treatments based on the patient’s aesthetic preferences and individual anatomy.
Dr. Panossian can create a preliminary treatment plan and describe the two main rhinoplasty techniques: open rhinoplasty and closed rhinoplasty. Open rhinoplasty requires an incision in the columella, which is the exterior nasal skin that divides the two nostrils. It can result in a small but hidden scar.
In the closed rhinoplasty approach, the doctor accesses the nose cartilage and bone internally through the nostrils and incisions made inside. The patient’s goals and nasal structure can help Dr. Panossian determine which technique to recommend.
How to Prepare for Rhinoplasty Surgery
Each patient is unique and individual results may vary*.
Before patients can undergo a rhinoplasty procedure in Pasadena, they must follow Dr. Panossian’s pre-surgical preparation steps. He may require imaging of the sinuses, records, and approval from the patient’s primary care physician, and/or request lab work. Patient safety is of primary concern during an elective procedure.
Rhinoplasty patients should also fill any prescriptions written for the surgery in advance. After surgery, Dr. Panossian might request that patients take medications to control inflammation and swelling, prevent infection, and mitigate any post-surgical discomfort.
Hand sanitizer should be purchased to help the patient keep their hands clean while resting after surgery. Straws are also a good item to purchase because drink glasses and containers can bump the nose, and tilting the head backward can cause fluid to drain down the throat.
Because patients will have some downtime after surgery, they should take at least a week off from their regular schedules and prepare their recovery area in advance. Clean bedding and clothing, along with adequate pillows for keeping the head elevated, can be prepared in the days leading up to the surgery.
Whether a patient is local or travels to Pasadena to undergo a rhinoplasty, they should arrange for a ride to and from the surgery, and schedule a home caretaker for the first postsurgical 12 hours. Preparing meals in advance will ensure the patient has healthy food available throughout the recovery time.
Patients should discontinue or decrease the dosage of certain medications, as instructed by Dr. Panossian, and should not eat for at least 12 hours prior to the rhinoplasty. They should shower the day of the surgery and may be provided with a special antimicrobial soap to use on their skin. Appointment-day attire should include a loose top that can be easily zipped or buttoned on and off to avoid impacting the nose.
The Rhinoplasty Surgery
Each patient is unique and individual results may vary*.
Rhinoplasty is performed at an accredited surgical center in Pasadena. The details of the surgical plan will be determined prior to the surgery date. Dr. Panossian meets with patients before the surgery to discuss their desired changes and explain his approach. He may use a surgical marker to create a plan to follow once the surgery begins.
Patients will also meet other members of the surgical team which might include an anesthesiologist and specialty nurses. Once Dr. Panossian and his team are ready to begin, the patient will be anesthetized in a comfortable sleep for the duration of the rhinoplasty procedure.
Recovering from a Rhinoplasty
On the day of the surgery, patients are discharged once the anesthesia is reversed and they are fully awake. They must have a ride to take them home or to their hotel room to recover. They may feel groggy for the next 24 hours. When sleeping, postoperative rhinoplasty patients are asked to use pillows to prop themselves up to a 45-degree angle so gravity can help control nasal swelling in the first week.
Patients should take a week off work or other regular activities, and should not exercise or do other strenuous activities that raise their heart rate for 6 weeks. Most patients do not need pain medication or other comfort measures like a cold compress beyond the first week. The nose will change most dramatically during this time.
Special considerations may apply to some patients. After surgery, wearing glasses is discouraged. They may need to be taped up on the forehead with medical tape or otherwise held away from the nasal bridge.
Nerves are temporarily affected and may cause an itching sensation in the nose. Patients should not scratch the nose to avoid affecting the still malleable structure or sutures but may be able to use a cotton swab instead. Because patients must refrain from blowing or sniffing for one week, tissues for any fluid drips are good to keep nearby.
At the end of the initial healing period, patients will need to return to Dr. Panossian’s office for a routine post-procedural checkup and to have their nasal packing, cast, or sutures removed. Depending on when the postsurgical rhinoplasty appointment is scheduled, patients may require transportation to Dr. Panossian’s Pasadena, CA office.
Though the majority of the swelling and bruising will subside in a week or two, it can be a full 18 months until the final results of the nose surgery are visible. The extended period of recovery from surgery is the result of limited blood flow to the area and the intricate structures of the nose. The nasal bones, along with the cartilage, are the major supports of the nose and will determine its final form.
Rhinoplasty Post-operative Instructions
The following is a set of instructions given to Dr. Panossian’s patients after rhinoplasty. Dr. Panossian may modify the instructions as needed for each patient.
Potential Risks and Side Effects of Rhinoplasty
The procedure should be performed by an experienced, board-certified surgeon to avoid getting a bad nose job and achieve an aesthetically pleasing result. Risks can be minimized, but not fully eliminated, due to varying circumstances. Risks may include:
- Bruising and swelling
- Tingling sensations
- Pain and discomfort
- Nasal congestion
- An undesirable outcome
- Permanent tissue damage
- Need for revision rhinoplasty
Why Should Dr. Panossian Perform My Rhinoplasty?
Pasadena rhinoplasty is performed by renowned board-certified plastic surgeon Dr. Andre Panossian, who is known internationally for his work. Having trained both in the United States and France, the plastic surgery expert is uniquely qualified and is skilled in advanced concepts practiced in Europe.
Last modified by Dr. Andre Panossian